Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

C DIVINE LLC

NPI: 1952950289 · HOUSTON, TX 77083 · Family Medicine Physician · NPI assigned 09/09/2019

$245K
Total Medicaid Paid
8,827
Total Claims
7,936
Beneficiaries
20
Codes Billed
2021-06
First Month
2024-11
Last Month

Provider Details

Authorized OfficialEZECHIGBO, EMILIANA (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date09/09/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 719 $12K
2022 1,996 $52K
2023 3,635 $99K
2024 2,477 $83K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99349 3,244 2,905 $149K
99348 1,842 1,698 $56K
99344 212 185 $12K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 122 111 $6K
99335 147 126 $5K
99347 97 91 $3K
99406 572 503 $3K
99343 87 74 $3K
99345 Prolong home eval add 15m 66 34 $2K
99324 47 46 $1K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 17 17 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 49 40 $890.00
99497 784 668 $847.20
96127 372 349 $4.33
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 257 246 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 39 32 $0.00
G0444 Annual depression screening, 5 to 15 minutes 179 159 $0.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 15 15 $0.00
99401 660 620 $0.00
3725F 19 17 $0.00